Equine Foot and Forelimb Flashcards
Fill out the directional terms in the diagram
fill out the chart
At what point does the front of the forelimb and hindlimb switch from cranial to dorsal?
carpus/tarsus down
how do you tell the difference between for fore and hind limb?
fore - carpus
hind - tarsus
where do lower number bones reside - lateral or medial?
medial
where do higher number bones reside - lateral or medial?
lateral
why are nerve blocks done?
-diagnose lameness
-desensitize area for surgery
-help us learn anatomy (for this course)
what does the palmar/planter digital nerve block desensitize?
palmar/plantar 2/3s of foot
what are the structures that are desensitized by palmar/planter digital nerve block?
sole, navicular structures, distal interphalangeal joint, distal DDFT, distal sesamoidean ligamnets
what nerves does the palmar/plantar digital nerve block?
medial & lateral palmar/plantar digital nerves
what nerves does the abaxial sesamoid nerve block?
medial and lateral palmar/plantar nervers
what are the structures that are desensitized by abaxial sesamoid nerve block?
foot, second phalanx, proximal interphalangeal joint, distopalmar/plantar aspect of proximal phalanx, digital portions of SDFT & DDFT, distal sesamoidean ligaments, distal annular ligaments
what nerves does the low-4 point/low palmar nerve block blocks?
medial & lateral palmar/plantar nerves
medial & lateral palmar/plantar metacarpal nerves
what is desensitized by the low 4-point/low palmar nerve block?
metacarpo-/-tarsophalangeal joint and structures distal
distal aspects of suspensory branches
what nerves are desensitized by the high 4-point/high palmar nerve block?
medial & lateral palmar nerves
medial & lateral palmar metacarpal nerves
what structures are desensitized with the high 4-point/high palmar nerve block?
MC2, MC4, proximal suspensory ligament/origin, inferior check ligament, DDFT, SDFT
What is desensitized in a distal interphalangeal joint block?
joint
navicular bursa
what joints are in the carpus?
radiocarpal joint
middle/inter carpal joint
carpometacarpal joint
what is desensitized with a metacarpo-/tarsophalangeal joint block?
joint
label each joint
which joints of the carpus communicate?
middle/inter carpal joint
carpometacarpal joint
label the bones
where is the accessory carpal bone always located?
lateral
what is desensitized in a radiocarpal joint block?
radiocarpal joint only
what is desensitized in a middle/intercarpal joint block?
middle/intercarpal joint and carpometacarpal joint
what are the layers of the hoof laminae?
epidermal laminae
dermal laminae
what is the epidermal laminae attached to?
hoof wall
what is the dermal laminae attached to?
P3
what is laminitis?
inflammation of the laminae
what are the two types of laminitis?
rotation of P3
sinking of P3 w/in hoof capsule
what type of stance does laminitis horses typically have?
sawhorse stance
which is normal and which is disease? what disease?
L - normal
R - laminitis
which laminia is sensitive and which is insensitive?
sensitive - dermal
insensitive - epidermal
what is the most common cause of chronic forelimb lameness?
navicular disease
what is navicular disease?
chronic degenerative condition of navicular bone
what is the highlighted part?
lamina separating from hoof wall
which will appear overnight - laminitis or navicular disease?
laminitis
navicular disease develops over time
what happens with the navicular bone degenerating?
-loss of medullary architecture
-bone sclerosis & fibrocartilage damage on flexor surface of bone
-traumatic fibrillation of DDF tendon
-enthesiophyte formation on proximal and distal borders of bone
what is a bursa?
pocket of fluid that protects ligament going over bone
which is normal and which is diseased? what is the disease?
L - normal
R - navicular disease
what are the arrows?
what is an enthesiophyte?
soft tissue attachment to bone -> bony spur
what is happening to the navicular bone?
Edema
what are structures that can be affected with penetrating wounds of the foot?
Ungual/collateral cartilage
* Digital flexor tendon sheath
Deep digital flexor tendon
* Navicular bursa
Navicular bone
* Distal interphalangeal joint
Third phalanx/P3
*= structure by synovial joints
what are the structures that are by synovial joints that can be affected by a penetrating foot injury?
Digital flexor tendon sheath
Navicular bursa
Distal interphalangeal joint
what is tendonitis?
inflammation of a tendon
what is desmitis?
inflammation of a ligament
what is the general rule for healing with tendonitis and desmitis?
one month for each letter
tendon = 6 months
ligament = 8 months
what is each structure in the equine distal limb ultrasound?
which is normal and abnormal? what is the disease?
superficial digital flexor tendonitis
what is the arrow pointing to?
hematoma
what is the disease in this image?
deep digital flexor tendonitis
what is the arrow pointing to?
origin of suspensory ligament
which tendon is lacerated in each image?
what disease is this?
suspensory ligament desmitis
what disease is this?
suspensory ligament desmitis
which nerve block is being done?
Palmar/plantar digital nerve block (aka heel block)
which nerve block is being done?
abaxial sesamoid nerve block
which nerve block is being done?
low 4-point/ low palmar nerve block
which nerve block is being done?
high 4-point/high palmar nerve block
which block is being done?
distal interphalangeal joint/block
which block is being done?
metocarpo-/-tarsophalangeal joint/block
which block is being done?
radiocarpal joint/block
which block is being done?
middle/intercarpal joint